Key result
Preoperative prehabilitation systematic review defines its antecedents, attributes, and consequences to guide conceptual standardization.
Why the study?
Preoperative prehabilitation is increasingly adopted across clinical disciplines, but lacks consensus on its definition and core components, hindering standardization and implementation in clinical practice.
This concept analysis provides a foundational framework for understanding preoperative prehabilitation, which may help standardize clinical practice and guide future research.
May inform preoperative program design; leaves open empirical validation of attributes before clinical adoption.
Preoperative prehabilitation is increasingly adopted across clinical disciplines, yet it lacks a consensus on its definition and core components, which hinders standardization and implementation in clinical practice. To systematically analyze the concept of preoperative prehabilitation using Rodgers’ evolutionary framework to clarify its definition, antecedents, attributes, and consequences. A systematic literature search was conducted across five electronic databases including PubMed, CINAHL, Scopus, Web of Science, and Embase from database inception to September 2024. A concept analysis was performed using Rodgers’ evolutionary framework. A total of 65 articles were included for the analysis. The antecedents of preoperative prehabilitation included patient-related factors, healthcare system and organizational factors, social support, and time window. Attributes of preoperative prehabilitation included intervention timing and duration, provider–recipient dyad, intervention components, and goal-oriented. The consequences of preoperative prehabilitation included enhanced patient self-efficacy, optimized perioperative outcomes, improved healthcare economics, sustained health behavior change, safety, and potential adverse events. This concept analysis of preoperative prehabilitation helps elucidate its antecedents, attributes, and consequences to provide a foundational basis for a conceptual consensus and standardized practice. Our work also informs future research aimed at optimizing the implementation of the concept and improving patient outcomes, ultimately enhancing patient welfare.
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Shi et al. (2026) conducted a review in Preoperative prehabilitation (n=65). Preoperative prehabilitation was evaluated on Antecedents, attributes, and consequences of preoperative prehabilitation. Preoperative prehabilitation was systematically analyzed across 65 articles to elucidate its antecedents, attributes, and consequences, providing a basis for conceptual consensus and standardization.
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